I live in East Tennessee, but spent about a month at Vanderbilt with my 11 year old daughter this spring. Obviously we were not in the NICU and I can't speak as a staff member, but as a parent. The facility is beautiful- one of the nicest hospitals I have ever seen. It is very family friendly. The staff that I spoke with seemed very happy there and they had spectacular continuing education opportunities. My daughter was in 4 different hospitals from Nashville to Knoxville to Philadelphia for 2 months, so I have seen the nursing care at a variety of places. The nurses at Vanderbilt were the best of the 4 hospitals that she was in. It is a teaching hospital, so the doctors and nurses are on their toes, see lots of interesting things, and are very professional. Children's Hosp. of Philadelphia seemed to do more hi tech and new stuff, but it is a much larger hospital than Vanderbilt.